Choice in Public Health Services: A Multilevel Analysis of Perceived Primary Care Doctor Choice in 22 Countries

Administration and Society, 2015 Forthcoming

29 Pages Posted: 18 Dec 2014

See all articles by Steven Van de Walle

Steven Van de Walle

KU Leuven - Department of Political Science; Erasmus University Rotterdam - Department of Public Administration

Sofie Marien

University of Amsterdam - Department of Political Science

Date Written: December 17, 2014

Abstract

The introduction of choice in public services, and in health services more specifically, is part of a wider movement to introduce consumerism in health care. In this article, we analyze how citizens perceive the availability of choice of primary care doctors in 22 European countries, and what drives these opinions using multilevel analyses on data from the European Social Survey (Round 2, 2004; 22 countries, N=33,375). We distinguish between individual factors and structural or country-level factors. We find that neither whether there actually is free choice of primary care doctors in a country, nor the density of doctors or health expenditure has an impact on perceptions of having enough choice. Perceptions are furthermore influenced by one’s personal health situation, age, sex, whether one lives in a rural area, and satisfaction with the health system.

Keywords: choice, primary care doctors, general practitioner, patient empowerment, consumerism, health reform

JEL Classification: D71, D73, I11, I18

Suggested Citation

Van de Walle, Steven and Marien, Sofie, Choice in Public Health Services: A Multilevel Analysis of Perceived Primary Care Doctor Choice in 22 Countries (December 17, 2014). Administration and Society, 2015 Forthcoming. Available at SSRN: https://ssrn.com/abstract=2539473

Steven Van de Walle (Contact Author)

KU Leuven - Department of Political Science ( email )

Public Management Institute
Van Evenstraat 2A
B-3000 Leuven
Belgium
+32 16 323614 (Phone)
+32 16 323611 (Fax)

HOME PAGE: http://www.publicmanagementinstitute.be

Erasmus University Rotterdam - Department of Public Administration ( email )

3000 DR Rotterdam
Netherlands
0031 10 408 2518 (Phone)

HOME PAGE: http://www.stevenvandewalle.eu

Sofie Marien

University of Amsterdam - Department of Political Science ( email )

Binnengasthuis
Oudezijds Achterburgwal 237
Amsterdam, 1012 DL
Netherlands

Register to save articles to
your library

Register

Paper statistics

Downloads
52
rank
366,343
Abstract Views
396
PlumX Metrics